Interest-based mediation of medical malpractice lawsuits: a route to improved patient safety?

Mediation of medical malpractice lawsuits provides savings for the parties by shortening the litigation process. In theory, information that aids emotional healing and improves patient care can also surface through mediation. The study discussed in this article used structured interviews of participants and mediators in thirty-one mediated malpractice lawsuits involving eleven nonprofit hospitals. The study measured perceptions of the process and mediation's effects on settlement, expenses, apology, satisfaction, and information exchange. Defense lawyers were less likely than plaintiff attorneys to mediate. Both plaintiff and defense attorneys were satisfied with the process, as were plaintiffs, hospital representatives, and insurers. Changes in hospitals' practices or policies to improve patient safety were identified. This study demonstrates that major challenges stand in the way of achieving mediation's full benefits. Absence of physician participation minimizes the chances that mediated discussion of adverse events and medical errors can lead to improved quality of care. Change will require medical leaders, hospital administrators, and malpractice insurers to temper their suspicion of the tort system sufficiently to approach medical errors and adverse events as learning opportunities, and to retain lawyers who embrace mediation as an opportunity to solve problems, show compassion, and improve care.     

Skeletal Indicators of Shark Feeding on Human Remains: Evidence from Florida Forensic Anthropology Cases

This research examines a series of six Florida forensic anthropology cases that exhibit taphonomic evidence of marine deposition and shark‐feeding activities. In each case, we analyzed patterns of trauma/damage on the skeletal remains (e.g., sharp‐force bone gouges and punctures) and possible mechanisms by which they were inflicted during shark predation/scavenging. In some cases, shark teeth were embedded in the remains; in the absence of this evidence, we measured interdental distance from defects in the bone to estimate shark body length, as well as to draw inferences about the potential species responsible. We discuss similarities and differences among the cases and make comparisons to literature documenting diagnostic shark‐inflicted damage to human remains from nearby regions. We find that the majority of cases potentially involve bull or tiger sharks scavenging the remains of previously deceased, adult male individuals. This scavenging results in a distinctive taphonomic signature including incised gouges in cortical bone.     

Using Carbon,Oxygen, Strontium,and Lead Isotopes in Modern Human Teeth for Forensic Investigations: A Critical Overview Based on Data from Bulgaria

Isotopic data obtained from human remains can provide information about an individual's origin, migration, and diet. We evaluate the usefulness of carbon, oxygen, strontium, and lead isotopes for forensic investigations by comparing data from Bulgarian teeth with data from other regions. Geo‐referencing based on oxygen or strontium isotopes can be misleading due to overlap with other countries in Europe and other continents. Carbon and lead isotopes, in combination with oxygen and strontium isotopes, provide the most useful information for identification of local vs foreigner status. In particular, high‐precision Pb isotopes show a distinct “Bulgarian” range; however, it is possible that individuals from other countries in Eastern Europe and/or central to western Asia could have overlapping isotopic values. Additional high‐precision multi‐isotope data from modern humans from different regions in the world are required to transition from speculative to more quantitative estimation of a geographical place of origin for unidentified human remains.     

An analysis of single and multi-copy methods for DNA quantitation by real-time polymerase chain reaction

The goal of this paper was to examine and compare two different commercially available approaches to the determination of the relative quantities of autosomal and Y chromosomal DNA using real-time PCR. One, Quantifiler^® Duo, utilizes a TaqMan^® assay with single copy probes for both autosomal human and Y quantification. The other method, Plexor HY^® utilizes a primer quenching assay with multi-copy probes for its quantification of autosomal human and Y chromosomal DNA. To test these approaches we have utilized the NIST Human DNA Quantitation Standard Reference Material 2372, a set of three different NIST human DNA quantification standards, to examine the precision, accuracy and sensitivity of the real-time PCR assays. We also examined data from both systems utilizing casework samples. The results show that both systems produced linear estimates for DNA quantity over a broad range of input DNA. However we did observe some apparent copy number effects when comparing the three different NIST standards which we attributed to issues with sequence variations in the different standards. Overall, the single copy approach provided better accuracy while the multi-copy approach produced better sensitivity. Thus the choice of which system to use should depend upon the goals of the user.     

Assessing the Direct and Indirect Effects of Legitimacy on Public Empowerment of Police: A Study of Public Support for Police Militarization in America

The process‐based model dominates contemporary American research on police‐community relations and perceptions of police. A sizable literature has examined the linkages between procedural justice, legitimacy, compliance with the law, and cooperation with police. Less examined is the relationship between legitimacy and public empowerment of police. This study examines this relationship, focusing on police militarization. We first examine the direct effect of legitimacy on public willingness to allow police to become more militarized. Drawing from cognitive psychology and rational choice theories, we then consider indirect paths between legitimacy and empowerment, concentrating on two anticipated consequences of militarization—an increase in police effectiveness and possible harm to civil liberties. Using a national sample of over 700 American adults, and structural equation modeling, results indicate legitimacy has both direct and indirect effects on police empowerment, in part by shaping assessments of the possible consequences of empowerment. Implications for theory and policy are discussed.     

Fate and Behavior of Gunshot Residue: Recreational Shooter Vehicle Distribution

The susceptibility for recreational shooters to transfer gunshot residue (GSR) to both the interior and exterior of a vehicle is investigated. A comprehensive sampling protocol was used to assess the most likely areas of GSR transfer from recreational shooter contact, such as the steering wheel and the area, the firearms were stored (the trunk). Up to 315 characteristic GSR, particles were found in several locations throughout the interior of a vehicle. As many as 876 characteristic particles were found throughout a single vehicle. The data indicate that vehicles frequently occupied by firearms users are a potential source for inadvertent transfer of GSR to persons unrelated to firearm activity. In criminal cases where vehicles have been used, such transfer processes for GSR need to be considered within the context of any case interpretation. The implications for subsequent contamination and transfer processes from such vehicles require further investigation.     

Cold-blooded women can detect lies with greater accuracy than other women

Lies are notoriously difficult to detect. But it appears that some people are better at accomplishing this task than others even though the factors contributing to deception detection accuracy are not well understood. This study explored the influence of empathy on the detection of deception as a function of the detectors’ gender while dark personality traits were statistically controlled. Eighty men and 80 women were requested to judge whether individuals viewed in videos were giving their true opinion or not on current debatable issues (50% truthful and 50% deceptive narratives). Judges were divided into four groups according to their gender and their degree of empathy, as assessed using the Questionnaire Measure of Emotional Empathy. It was found that women with lower levels of empathy distinguished false from true opinions better than women with higher empathy, whereas no such difference was found in men. These results suggest that the degree of empathy in women influences their ability to detect deception and supports recent studies showing that emotional skills negatively affect deception detection ability. We suggest that less empathic women are less affected by emotional contagion and thus may be more able to focus on non-emotional cues that might reveal deception.     

Public confidence in the police: tests of instrumental and expressive models in a developing country city

This paper examines the effect of instrumental and expressive concerns on public confidence in the police in three different residential areas in Sekondi-Takoradi, Ghana’s third largest city. The study was important because of the knowledge vacuum that existed in regard to the empirical validity of the instrumental and expressive theoretical framework within the Ghanaian context. Data for the study was drawn from a baseline survey conducted in three residential areas in the Sekondi-Takoradi metropolis. The findings revealed that instrumental factors played a more significant role in influencing confidence in the police in the Sekondi-Takoradi metropolis compared to expressive factors. More importantly, instrumental factors played a more significant role in influencing confidence in the police at Anaji compared to the other two residential areas used in the study. The paper recommends that there should be more investment in police infrastructure and services to enhance police effectiveness and efficiency. Additionally, the authors also suggest that interventions aimed at improving security at the community level should be guided by periodic safety audits since this will provide a better understanding of the criminogenic problems within these residential settlements.     

Bullying,peer victimization,and emotional problems in Cypriot adolescents referred to mental health services—a comparison of normative and clinical data

This study explores the prevalence of bullying and victimization among Cypriot adolescents diagnosed with mental health problems. Their psychosocial adjustment in relation to bullying is studied. The sample consisted of 187 adolescents (60.2% boys; M age = 13.2) and their parents. The present sample reported significantly higher rates of victimization than existing published normative values χ² (1, N = 187) = 27.0, p < .001. An alarming finding was that a total of 25.8% reported to be involved in bullying. There was a significant positive correlation between bullying and emotional symptoms (r = 0.36, p < .001), conduct problems (r = 0.35, p < .001), hyperactivity (r = 0.23, p < .003) and peer problems (r = 0.48, p < .001). The study suggests that there is increased victimization and psychosocial difficulties among Cypriot clinical population in regards to bullying.     

Corruption and Wildlife Trafficking: Three Case Studies Involving Asia

As wildlife trafficking or the illegal wildlife trade has taken a more prominent place on the global agenda, discussions are taking place as to how wildlife trafficking happens. An increased understanding has revealed that corruption is a key facilitator of this profitable and pervasive global black market, but limited research has explored exactly what that corruption looks like and how corruption enables wildlife to be trafficked. Furthermore, research shows that Asia, particularly China and Southeast Asia, are focal points for the supply and demand of certain species of wildlife. Through a literature-based investigation, this paper unpacks the role specific acts of corruption play in the trafficking of ivory, reptile skins and live reptiles from, through or to Asia. It is proposed that not only do individual corrupt acts enable wildlife trafficking to happen, but also that corrupted structures (the criminal justice system, and economic and political foundations) in some societies enable trafficking to happen and also increase the resilience of trafficking to reduction measures. In collating detailed data about the forms of corruption facilitating wildlife trafficking, the gaps in knowledge, and therefore the important areas for further research, become evident.